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    Antigen Vaccination of Health Care Workers Recommended

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    Nico Angelo Copo
    This document summarizes the World Health Organization's (WHO) position on vaccinating different types of health care workers. It provides recommendations for 19 different antigens/vaccines such as BCG, hepatitis B, polio, diphtheria, measles, rubella and influenza. For most antigens, the WHO recommends vaccinating all unvaccinated health care workers. However, for some antigens like tetanus, Hib, and pneumococcal, the WHO states health care workers are not at increased risk and no special recommendation is made. The document defines health care workers and provides references to support each recommendation.

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    Antigen Vaccination of Health Care Workers Recommended

    Uploaded by

    Nico Angelo Copo
    25 views2 pages
    This document summarizes the World Health Organization's (WHO) position on vaccinating different types of health care workers. It provides recommendations for 19 different antigens/vaccines such as BCG, hepatitis B, polio, diphtheria, measles, rubella and influenza. For most antigens, the WHO recommends vaccinating all unvaccinated health care workers. However, for some antigens like tetanus, Hib, and pneumococcal, the WHO states health care workers are not at increased risk and no special recommendation is made. The document defines health care workers and provides references to support each recommendation.

    Original Description:

    Immunization from WHO

    Original Title

    Immunization Routine Table4

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    This document summarizes the World Health Organization's (WHO) position on vaccinating different types of health care workers. It provides recommendations for 19 different antigens/vaccines such as BCG, hepatitis B, polio, diphtheria, measles, rubella and influenza. For most antigens, the WHO recommends vaccinating all unvaccinated health care workers. However, for some antigens like tetanus, Hib, and pneumococcal, the WHO states health care workers are not at increased risk and no special recommendation is made. The document defines health care workers and provides references to support each recommendation.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    25 views2 pages

    Antigen Vaccination of Health Care Workers Recommended

    Uploaded by

    Nico Angelo Copo
    This document summarizes the World Health Organization's (WHO) position on vaccinating different types of health care workers. It provides recommendations for 19 different antigens/vaccines such as BCG, hepatitis B, polio, diphtheria, measles, rubella and influenza. For most antigens, the WHO recommends vaccinating all unvaccinated health care workers. However, for some antigens like tetanus, Hib, and pneumococcal, the WHO states health care workers are not at increased risk and no special recommendation is made. The document defines health care workers and provides references to support each recommendation.

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    © All Rights Reserved
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    of 2

    Updated April 2019

    Table 4: Summary of WHO Position Papers – Immunization of Health Care WorkersA


    The information below is provided to assist countries to develop national policies for the vaccination of health care workers (HCWs). It is expected that HCWs are fully
    vaccinated per the national vaccination schedule in use in their country.
    Antigen Vaccination of Health Care Workers Recommended
    BCG vaccination is recommended for unvaccinated TST- or IGRA-negative persons at risk of occupational exposure in low and high TB incidence areas (e.g. health-
    BCG1
    care workers, laboratory workers, medical students, prison workers, other individuals with occupational exposure)
    Immunization is suggested for groups at risk of acquiring infection who have not been vaccinated previously (for example HCWs who may be exposed to blood and
    Hepatitis B2
    blood products at work).
    Polio3 All HCWs should have completed a full course of primary vaccination against polio.
    Particular attention should be given to revaccination of HCWs with diphtheria boosters every 10 years. Special attention should be paid to immunizing HCWs who may
    Diphtheria4
    have occupational exposure to C. diphtheriae.
    All HCWs should be immune to measles and proof/documentation of immunity or immunization should be required as a condition of enrollment into training and
    Measles5
    employment.
    If rubella vaccine has been introduced into the national programme, all HCWs should be immune to rubella and proof/documentation of immunity or immunization
    Rubella6
    should be required as a condition of enrollment into training and employment.
    Meningococcal7 One booster dose 3-5 years after the primary dose may be given to persons considered to be at continued risk of exposure, including HCWs.

    Influenza8 HCWs are an important group for influenza vaccination. Annual immunization with a single dose is recommended.
    Countries should consider vaccination of potentially susceptible health-care workers (i.e. unvaccinated and with no history of varicella) with 2 doses of varicella
    Varicella9
    vaccine
    Pertussis10 HWCs should be prioritized as a group to receive pertussis vaccine.

    Antigen No current recommendation for vaccination of Health Care Workers


    Tetanus11 There is currently no recommendation regarding HCWs.
    The main burden of disease lies in infants under 5 years of age. Work in a health care setting is not indicated as a factor for increased risk. There is currently no
    Haemophilus influenzae type b12
    recommendation regarding HCWs.
    The main burden of disease lies in infants under 5 years of age. Immunocompetent adults are not at increased risk for serious pneumococcal disease. HCWs are not
    Pneumococcal13
    indicated as a group at increased risk of pneumococcal disease.
    Rotavirus14 Children are the target group for rotavirus vaccination as they have the greatest burden of disease. Adults including HCWs are not at increased risk of severe disease.

    HPV15 HCWs are not at increased risk of HPV. The primary target group for vaccination is girls aged 9-14.
    Health-care workers are generally not at special risk of contracting JE. Workers at high-risk in endemic areas, such as those involved in vector control, should be
    Japanese Encephalitis16
    vaccinated.
    Individuals in endemic countries and travelers to these countries should receive a single dose of yellow fever vaccine. Work in a health care setting is not indicated as
    Yellow Fever17
    a factor for increased risk. There is currently no recommendation regarding HCWs.
    Health-care workers are generally not at special risk of contracting JE. Workers at high-risk in endemic areas, such as those involved in vector control, should be
    Tick-borne Encephalitis18
    vaccinated.
    Typhoid vaccines should be employed as part of comprehensive control strategies in areas where the disease is endemic. Work in a health care setting is not indicated
    Typhoid19
    as a factor for increased risk. There is currently no recommendation regarding HCWs.
    Cholera vaccines may be employed as part of comprehensive control strategies in areas where the disease is endemic as well as to prevent and respond to cholera
    Cholera20
    outbreaksB. There is currently no recommendation regarding HCWs.
    Hepatitis A is transmitted through contaminated food and water or direct contact with an infectious person. HCWs are not indicated as a group at increased risk of
    Hepatitis A21
    hepatitis A infection.
    Rabies22 PrEP may be considered for medical professionals who regularly provide care to persons with rabies.
    Routine mumps vaccination is recommended in countries with a well-established, effective childhood vaccination programme and the capacity to maintain high level
    Mumps23
    vaccination coverage with measles and rubella vaccination. HCWs are not indicated as a group at increased risk.
    Dengue (CYD-TDV)24 HCWs are not at increased risk of dengue
    References Updated April 2019

    1. BCG vaccine, WHO position paper, Weekly Epidemiological Record, 2018, 93:73-96

    2. Hepatitis B, WHO Position Paper, Weekly Epidemiological Record 2017, 92:369-392

    3. Polio vaccines and polio immunization, WHO position papers, Weekly Epidemiological Record, 2016, 91: 145-168

    4. Diphtheria, WHO position paper, Weekly Epidemiological Record, 2017, 92:417-436

    5. Measles, WHO Position Paper: Weekly Epidemiological Record 2017, 92:205-228

    6. Meeting of the Strategic Advisory Group of Experts on immunization (SAGE), November 2013 – Conclusions and recommendations, Weekly
    Epidemiological Record, 2013, 89: 1-20

    7. Meningococcal vaccines, WHO position paper, Weekly Epidemiological Record, 2011, 86: 521-540

    8. Vaccines against influenza, WHO position papers, Weekly Epidemiological Record, 2012, 87: 461-476

    9. Varicella and herpes zoster vaccines, WHO Position Paper, Weekly Epidemiological Record, 2014, 89: 265-288

    10. Pertussis vaccines, WHO position paper, Weekly Epidemiological Record, 2015, 90: 433-460

    11. Tetanus vaccine, WHO position paper, Weekly Epidemiological Record, 2017, 92: 53-76

    12. Haemophilus influenzae type b (Hib) vaccination, WHO position paper, Weekly Epidemiological Record, 2013, 88: 413-428

    13. Pneumococcal vaccines, WHO position paper, Weekly Epidemiological Record, 2019, 94: 85-104

    14. Rotavirus vaccines, WHO position paper, Weekly Epidemiological Record, 2013, 88: 49-64

    15. Human Papillomavirus vaccines, WHO position paper. Weekly Epidemiological Record, 2017, 92:241-268

    16. Japanese encephalitis vaccines, WHO position paper, Weekly Epidemiological Record, 2015, 90: 69-88

    17. Vaccines and vaccination against yellow fever, WHO position paper, Weekly Epidemiological Record, 2013, 88: 269-284

    18. Vaccines against tick-borne encephalitis, WHO position paper, Weekly Epidemiological Record, 2011, 86: 241-256

    19. Typhoid vaccines, WHO position paper, Weekly Epidemiological Record, 2018, 93: 153-172

    20. Cholera vaccines, WHO position paper, Weekly Epidemiological Record, 2017, 92:477-500

    21. Hepatitis A vaccines, WHO position paper, Weekly Epidemiological Record, 2012, 87: 261-276

    22. Rabies vaccines, WHO position paper, Weekly Epidemiological Record, 2018, 93: 201-220;

    23. Mumps virus vaccines, WHO position paper, Weekly Epidemiological Record, 2007, 82: 49-60

    24. Dengue (CYD-TDV), WHO Position Paper, Weekly Epidemiological Record, 2016, 91: 349-364

    A
    Health Care Workers (HCWs) are defined as all persons involved in patient care such as health care professionals, residents, students, laboratory staff, administrative and service staff, as well as persons in public
    health such as field workers, epidemiologists, laboratory staff and community health workers.
    B
    Please refer to the WHO publication, Vaccination in acute humanitarian emergencies: a framework for decision making, for details on cholera vaccination in response to outbreaks -
    http://apps.who.int/iris/bitstream/10665/92462/1/WHO_IVB_13.07_eng.pdf

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